JP5800253B2 - 位置合わせツール - Google Patents
位置合わせツール Download PDFInfo
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- JP5800253B2 JP5800253B2 JP2013506753A JP2013506753A JP5800253B2 JP 5800253 B2 JP5800253 B2 JP 5800253B2 JP 2013506753 A JP2013506753 A JP 2013506753A JP 2013506753 A JP2013506753 A JP 2013506753A JP 5800253 B2 JP5800253 B2 JP 5800253B2
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- Prior art keywords
- alignment tool
- adjustment
- displacement
- arm
- displacement arm
- Prior art date
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- Expired - Fee Related
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- 238000006073 displacement reaction Methods 0.000 claims description 75
- 238000002271 resection Methods 0.000 claims description 19
- 238000012360 testing method Methods 0.000 claims description 16
- 210000000078 claw Anatomy 0.000 claims description 6
- 210000003423 ankle Anatomy 0.000 claims description 2
- 238000002316 cosmetic surgery Methods 0.000 claims description 2
- 238000003780 insertion Methods 0.000 claims description 2
- 230000037431 insertion Effects 0.000 claims description 2
- 210000000988 bone and bone Anatomy 0.000 description 17
- 210000004233 talus Anatomy 0.000 description 13
- 241001227561 Valgus Species 0.000 description 8
- 241000469816 Varus Species 0.000 description 8
- 210000001503 joint Anatomy 0.000 description 7
- 210000000544 articulatio talocruralis Anatomy 0.000 description 6
- 210000004872 soft tissue Anatomy 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 210000002683 foot Anatomy 0.000 description 4
- 210000002303 tibia Anatomy 0.000 description 3
- 238000002513 implantation Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000003993 interaction Effects 0.000 description 2
- 210000000629 knee joint Anatomy 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 230000001010 compromised effect Effects 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 230000007850 degeneration Effects 0.000 description 1
- 230000000881 depressing effect Effects 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 210000002414 leg Anatomy 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Images
Classifications
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8861—Apparatus for manipulating flexible wires or straps
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8869—Tensioning devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
-
- A—HUMAN NECESSITIES
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- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4684—Trial or dummy prostheses
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/151—Guides therefor for corrective osteotomy
- A61B17/152—Guides therefor for corrective osteotomy for removing a wedge-shaped piece of bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0268—Joint distractors for the knee
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- A—HUMAN NECESSITIES
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
- A61B2017/565—Methods for bone or joint treatment for surgical correction of axial deviation, e.g. hallux valgus or genu valgus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B2017/681—Alignment, compression, or distraction mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4606—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of wrists or ankles; of hands, e.g. fingers; of feet, e.g. toes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
- A61F2/4202—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
- A61F2002/4205—Tibial components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4668—Measuring instruments used for implanting artificial joints for measuring angles
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Physical Education & Sports Medicine (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Dentistry (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
a)ツールを関節空間内に挿入することと、
b)基準部材に対して第1及び第2の変位アームの一方を変位させることと、
c)基準部材に対して第1及び第2の変位アームの他方を変位させることと、
d)関節が位置合わせされるまでステップ(b)及び(c)を繰り返すことと、
を含む。
Claims (15)
- 関節のための位置合わせツールであって、
基準平面を有する基準部材と、
変位部材と、
ドリルガイドと、を有し、
前記変位部材は、第1の変位アーム及び第2の変位アームを有し、前記第1の変位アーム及び前記第2の変位アームは各々、前記ドリルガイドを受け入れるように構成された取付け部を有し、且つ、移動軸線に沿って前記基準部材に対して独立に移動可能であり、前記第1の変位アームの移動軸線及び前記第2の変位アームの移動軸線は実質的に互いに平行であり、
前記ドリルガイドは、前記第1の変位アームの取付け部及び前記第2の変位アームの取付け部のいずれか一方の中に受入れられるように構成される、位置合わせツール。 - 前記第1の変位アームの移動軸線及び前記第2の変位アームの移動軸線は、前記基準平面に対して実質的に垂直である、請求項1に記載の位置合わせツール。
- 更に、前記第1の変位アームと前記基準部材とを作動的に接続する第1の調整手段と、 前記第2の変位アームと前記基準部材とを作動的に接続する第2の調整手段と、を有する請求項1又は2に記載の位置合わせツール。
- 前記基準部材は、前記第1の調整手段及び前記第2の調整手段が取付けられた基準本体と、基準要素とを有する、請求項3に記載の位置合わせツール。
- 前記第1の調整手段及び前記第2の調整手段は、前記基準本体に調整平面のところで取付けられ、
前記基準要素は、前記調整平面に対して傾斜した係合軸線に沿って前記調整平面から突出する、請求項4に記載の位置合わせツール。 - 前記第1の変位アーム及び前記第2の変位アームはそれぞれ、前記第1の調整手段及び前記第2の調整手段に実質的に前記調整平面のところで取付けられ、且つ、前記基準要素の前記係合軸線と実質的に平行なそれぞれの軸線に沿って前記調整平面から延びる、請求項5に記載の位置合わせツール。
- 前記第1の調整手段及び前記第2の調整手段の各々は、前記基準部材に取付けられた調整ソケットを有し、前記調整ソケットは、それに対応する前記第1の変位アーム又は前記第2の変位アームが取付けられた調整アームを受入れる、請求項3〜6のいずれか1項に記載の位置合わせツール。
- 前記第1の調整手段及び前記第2の調整手段の各々は、ラックを有し、前記調整ソケットの各々は、前記ラックと協働する爪を有する、請求項7に記載の位置合わせツール。
- 前記第1の変位アーム及び前記第2の変位アームは、取付け部材を介して前記調整アームに取付けられる、請求項7又は8に記載の位置合わせツール。
- 前記取付け部は各々、前記位置合わせツールの基準平面と平行な平面において、前記ドリルガイドを位置合わせするように作動可能な位置合わせ部を有する、請求項1に記載の位置合わせツール。
- 前記基準要素は、試験用の人工器官コンポーネントを有する、請求項4〜10のいずれか1項に記載の位置合わせツール。
- 前記基準要素は、足関節全体の形成術のための試験用の脛骨コンポーネントを有する、請求項11に記載の位置合わせツール。
- 請求項1〜12のいずれか1項に記載の位置合わせツールを有する部品キット。
- 前記ドリルガイドは、ガイドワイヤの挿入の方向を定めるように構成される、請求項13に記載の部品キット。
- 更に、前記ドリルガイドが誘導する前記ガイドワイヤに取付けられるように構成された切除ガイドを有する、請求項13又は14に記載の部品キット。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB1007062.1 | 2010-04-28 | ||
GB1007062A GB2479899A (en) | 2010-04-28 | 2010-04-28 | Alignment tool for use in joint replacement |
PCT/GB2011/050846 WO2011135372A1 (en) | 2010-04-28 | 2011-04-28 | Alignment tool |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013524979A JP2013524979A (ja) | 2013-06-20 |
JP5800253B2 true JP5800253B2 (ja) | 2015-10-28 |
Family
ID=42270938
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013506753A Expired - Fee Related JP5800253B2 (ja) | 2010-04-28 | 2011-04-28 | 位置合わせツール |
Country Status (8)
Country | Link |
---|---|
US (2) | US9138332B2 (ja) |
EP (1) | EP2563284B1 (ja) |
JP (1) | JP5800253B2 (ja) |
AU (1) | AU2011247043B2 (ja) |
CA (1) | CA2797338C (ja) |
ES (1) | ES2461185T3 (ja) |
GB (1) | GB2479899A (ja) |
WO (1) | WO2011135372A1 (ja) |
Families Citing this family (40)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB2479899A (en) | 2010-04-28 | 2011-11-02 | Biomet Uk Ltd | Alignment tool for use in joint replacement |
AU2016244327B2 (en) * | 2010-12-20 | 2018-04-05 | Microport Orthopedics Holdings Inc. | Orthopedic surgical guide |
FR2986415A1 (fr) | 2012-02-06 | 2013-08-09 | Tornier Sa | Ensemble d'instrumentation chirurgicale pour poser une prothese de cheville |
GB2500918A (en) | 2012-04-05 | 2013-10-09 | Biomet Uk Healthcare Ltd | A prosthetic ankle with sliding engaging components |
US9011451B2 (en) | 2013-03-12 | 2015-04-21 | DePuy Synthes Products, Inc. | Instruments for use in the implantation of an ankle prosthesis and method of using the same |
US20160015426A1 (en) | 2014-07-15 | 2016-01-21 | Treace Medical Concepts, Inc. | Bone positioning and cutting system and method |
US9687250B2 (en) | 2015-01-07 | 2017-06-27 | Treace Medical Concepts, Inc. | Bone cutting guide systems and methods |
WO2016134154A1 (en) | 2015-02-18 | 2016-08-25 | Treace Medical Concepts, Inc. | Pivotable bone cutting guide useful for bone realignment and compression techniques |
US10653467B2 (en) | 2015-05-06 | 2020-05-19 | Treace Medical Concepts, Inc. | Intra-osseous plate system and method |
JP6985248B2 (ja) | 2015-07-14 | 2021-12-22 | トリース メディカル コンセプツ,インコーポレイティド | 骨位置付けガイド |
US9622805B2 (en) | 2015-08-14 | 2017-04-18 | Treace Medical Concepts, Inc. | Bone positioning and preparing guide systems and methods |
US10849663B2 (en) | 2015-07-14 | 2020-12-01 | Treace Medical Concepts, Inc. | Bone cutting guide systems and methods |
EP3334356A4 (en) | 2015-08-14 | 2019-05-15 | Treace Medical Concepts, Inc. | PROCEDURE ON TARSO-METATARIAL ARTICULATION USING A SUPPORT POINT |
US11278337B2 (en) | 2015-08-14 | 2022-03-22 | Treace Medical Concepts, Inc. | Tarsal-metatarsal joint procedure utilizing fulcrum |
EP3349674A4 (en) | 2015-09-18 | 2019-05-22 | Treace Medical Concepts, Inc. | SYSTEMS AND METHODS FOR JOINT SPACING |
DE102016204307B3 (de) | 2016-03-16 | 2017-07-20 | Carsten Boos | Operationsvorrichtung für eine Operation des menschlichen Knies |
US10172630B2 (en) | 2016-05-19 | 2019-01-08 | Medos International Sarl | Drill guide with adjustable stop |
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